<!DOCTYPE html>
<html>
	<head>
		<meta charset="utf-8">
		<title></title>
		<style type="text/css">
			.a {
				background-image: url(../photo/bg.jpg);
				background-repeat: no-repeat;
				text-indent: 30px;
				color: #F0F8FF;
				width: 300px;
			}

			#p1 {
				padding-top: 70px;
			}
			span{
				color: #FF0000;
			}
			
		</style>
	</head>
	<body>
		<div class="a">
			<form>
				<p id="p1"><span>*</span>姓名： <input type="text" placeholder="姓名" value="" required="required"/></p>
				<p><span>*</span>邮箱： <input type="text" placeholder="邮箱" value="" required="required"/></p>
				<p><span>*</span>电话： <input type="text" placeholder="电话" value="" required="required"/></p>
				<p>性别：<select name="性别">
						<option value="">请选择</option>
						<option value="男">男</option>
						<option value="女">女</option>
					</select></p>
				<p>年龄：<select name="年龄">
						<option  value="">请选择</option>
						<option value="15">15</option>
						<option value="16">16</option>
						<option value="17">17</option>
						<option value="18">18</option>
						<option value="19">19</option>
					</select></p>
				<p align="center"><input type="image" src="../photo/btn.jpg" value="注册" alt="图片"  /></p>
			</form>
		</div>
	</body>
</html>
